| NPI | 1215381777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A16339) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A16339) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA 20A16339) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2022-09-16 |